Provider Demographics
NPI:1538705017
Name:PILLER, SARA B
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:B
Last Name:PILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50646 ELK TRL
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-7205
Mailing Address - Country:US
Mailing Address - Phone:574-299-6815
Mailing Address - Fax:
Practice Address - Street 1:50646 ELK TRL
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-7205
Practice Address - Country:US
Practice Address - Phone:574-299-6815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist